Lookup NPI Numbers from the NPI Registry
NPI Profile for MELISSA M BLACK in REXBURG, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1659077238 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 02/06/2023 | |
| Last updated | 02/06/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MELISSA M BLACK
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MELISSA M BLACK, FNP-C